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Organization
GILBERT COMPLETE MEDICAL CLINIC LLC
Active
Organization
GILBERT COMPLETE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LESTER (CREDENTIALING MANAGER)
(480) 219-6631
Entity
Organization
Contact information
Practice address
201 W GUADALUPE RD STE 102, GILBERT, AZ 85233-3318
(480) 297-3703
Mailing address
201 W GUADALUPE RD STE 102, GILBERT, AZ 85233-3318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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